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Organization
SHEA OPTOMETRIC CORPORATION
Active
Organization
SHEA OPTOMETRIC CORPORATION
Active
Other names
Nuview Optometric Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK C. SHEA O.D. (PRESIDENT)
(949) 642-7882
Entity
Organization
Contact information
Practice address
2200 HARBOR BLVD, STE D-130, COSTA MESA, CA 92627-2501
(949) 642-7882
(949) 642-7792
Mailing address
2200 HARBOR BLVD, STE D-130, COSTA MESA, CA 92627-2501
(949) 642-7882
(949) 642-7792
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
11538TPL
CA
261QM2500X
Medical Specialty Clinic/Center
Primary
11538TPL
CA
Other
Enumeration date
01/28/2009
Last updated
03/03/2009
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